Robotic Liver Surgery: Early Experience From a Single Surgical Center

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Abstract

Introduction:

The use of robotic surgery in liver resection is still limited. Our aim is to present our early experience of robotic liver resection.

Materials and Methods:

It is a retrospective review of Sanchinarro University hospital experience of robotic liver resection performed from 2011 to 2014. Clinicopathologic characteristics, and perioperative and postoperative outcomes were recorded and analyzed.

Results:

Twenty-one procedures have been performed and 13 (65%) of them were for malignancy. There were 2 left hepatectomies, 1 right hepatectomy, 1 associated liver partition and portal vein ligation staged procedure (both steps by robotic approach), 1 bisegmentectomy and 3 segmentectomies, 9 wedge resections, and 3 pericystectomies. The mean operating time was 282 minutes (range, 90 to 540 min). Overall conversion rate and postoperative complication rate were 4.7% and 19%, respectively. The mean length of hospital stay was 13.4 days (range, 4 to 64 d).

Conclusion:

From our early experience, robotic liver surgery is a safe and feasible procedure, especially for major hepatectomies.

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